Biased responding: A case series demonstrating a relationship between somatic symptoms and impaired recognition memory performance for traumatic brain injured individuals

R. A. Bierley, A. I. Drake, S. Ahmed, E. S. Date, M. Rosner, D. Warden, A. M. Salazar, K. A. Schwab, P. H. Tackitt, T. L. McDonough, W. Punch, B. Ivins, I. Litvan, R. Lipski, J. H. Grafman, T Lee Ryan, J. Wilkinson, E. M. Martin, M. Coyle, R. A. ColeL. Clawson, J. Walter, M. J. Bamdad, M. Graves, P. Knapp, J. Ecklund, M. Pramuka, L. Perry, N. Gray, S. Yoder, J. R. Grisson, J. Weissenburger, K. Breaux, S. Valescu, D. Garette-Bradley, M. A. Mullins, R. D. Vanderploeg, G. Curtiss, S. Scott, P. L. Michael, M. Waisman, L. Picon-Nieto, B. J. Signford, Jr Lanham R.A., R. Collins, D. Britigan, D. MacLennan, J. Avery, J. Lojovich, D. Voydetich, R. Salerno, Jr Lamb C.R., J. House, M. Cornis-Pop, L. V. Budd, G. Stevens, A. Verna, R. Thatcher, B. W. Festoff, J. Meyerhoff

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Biased responding on the Sternberg Recognition Memory Test was observed in four patients with traumatic brain injury. None of these individuals met the Diagnostic and Statistical Manual's (DSM-IV) criteria for malingering. Individual recognition memory scores were high shortly after injury, declined to chance or below at the 6- and 12-month evaluations, and then showed substantial recovery by the 24-month evaluation. Recall memory performance actually declined slightly across this same 2-year period. Recognition memory scores were related to the extent to which the patients endorsed somatic items on the Hamilton Rating Scale for Depression (HAM-D). Poor performance was associated with high somatic scores. The relationship between memory and somatic scores on the HAM-D in this case series suggests that unconscious processes can influence memory performance and, because of this, that clinicians should not use such performance as a primary indicator of malingering. More importantly, biased responding and actual memory deficits may coexist. This is indicated in the current cases by the failure of recall memory to improve during the 2 years these patients were followed.

Original languageEnglish (US)
Pages (from-to)697-714
Number of pages18
JournalBrain Injury
Volume15
Issue number8
StatePublished - 2001
Externally publishedYes

Fingerprint

Brain
Malingering
Memory Disorders
Recognition (Psychology)
Medically Unexplained Symptoms
Diagnostic and Statistical Manual of Mental Disorders
Depression
Wounds and Injuries

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Bierley, R. A., Drake, A. I., Ahmed, S., Date, E. S., Rosner, M., Warden, D., ... Meyerhoff, J. (2001). Biased responding: A case series demonstrating a relationship between somatic symptoms and impaired recognition memory performance for traumatic brain injured individuals. Brain Injury, 15(8), 697-714.

Biased responding : A case series demonstrating a relationship between somatic symptoms and impaired recognition memory performance for traumatic brain injured individuals. / Bierley, R. A.; Drake, A. I.; Ahmed, S.; Date, E. S.; Rosner, M.; Warden, D.; Salazar, A. M.; Schwab, K. A.; Tackitt, P. H.; McDonough, T. L.; Punch, W.; Ivins, B.; Litvan, I.; Lipski, R.; Grafman, J. H.; Ryan, T Lee; Wilkinson, J.; Martin, E. M.; Coyle, M.; Cole, R. A.; Clawson, L.; Walter, J.; Bamdad, M. J.; Graves, M.; Knapp, P.; Ecklund, J.; Pramuka, M.; Perry, L.; Gray, N.; Yoder, S.; Grisson, J. R.; Weissenburger, J.; Breaux, K.; Valescu, S.; Garette-Bradley, D.; Mullins, M. A.; Vanderploeg, R. D.; Curtiss, G.; Scott, S.; Michael, P. L.; Waisman, M.; Picon-Nieto, L.; Signford, B. J.; Lanham R.A., Jr; Collins, R.; Britigan, D.; MacLennan, D.; Avery, J.; Lojovich, J.; Voydetich, D.; Salerno, R.; Lamb C.R., Jr; House, J.; Cornis-Pop, M.; Budd, L. V.; Stevens, G.; Verna, A.; Thatcher, R.; Festoff, B. W.; Meyerhoff, J.

In: Brain Injury, Vol. 15, No. 8, 2001, p. 697-714.

Research output: Contribution to journalArticle

Bierley, RA, Drake, AI, Ahmed, S, Date, ES, Rosner, M, Warden, D, Salazar, AM, Schwab, KA, Tackitt, PH, McDonough, TL, Punch, W, Ivins, B, Litvan, I, Lipski, R, Grafman, JH, Ryan, TL, Wilkinson, J, Martin, EM, Coyle, M, Cole, RA, Clawson, L, Walter, J, Bamdad, MJ, Graves, M, Knapp, P, Ecklund, J, Pramuka, M, Perry, L, Gray, N, Yoder, S, Grisson, JR, Weissenburger, J, Breaux, K, Valescu, S, Garette-Bradley, D, Mullins, MA, Vanderploeg, RD, Curtiss, G, Scott, S, Michael, PL, Waisman, M, Picon-Nieto, L, Signford, BJ, Lanham R.A., J, Collins, R, Britigan, D, MacLennan, D, Avery, J, Lojovich, J, Voydetich, D, Salerno, R, Lamb C.R., J, House, J, Cornis-Pop, M, Budd, LV, Stevens, G, Verna, A, Thatcher, R, Festoff, BW & Meyerhoff, J 2001, 'Biased responding: A case series demonstrating a relationship between somatic symptoms and impaired recognition memory performance for traumatic brain injured individuals', Brain Injury, vol. 15, no. 8, pp. 697-714.
Bierley, R. A. ; Drake, A. I. ; Ahmed, S. ; Date, E. S. ; Rosner, M. ; Warden, D. ; Salazar, A. M. ; Schwab, K. A. ; Tackitt, P. H. ; McDonough, T. L. ; Punch, W. ; Ivins, B. ; Litvan, I. ; Lipski, R. ; Grafman, J. H. ; Ryan, T Lee ; Wilkinson, J. ; Martin, E. M. ; Coyle, M. ; Cole, R. A. ; Clawson, L. ; Walter, J. ; Bamdad, M. J. ; Graves, M. ; Knapp, P. ; Ecklund, J. ; Pramuka, M. ; Perry, L. ; Gray, N. ; Yoder, S. ; Grisson, J. R. ; Weissenburger, J. ; Breaux, K. ; Valescu, S. ; Garette-Bradley, D. ; Mullins, M. A. ; Vanderploeg, R. D. ; Curtiss, G. ; Scott, S. ; Michael, P. L. ; Waisman, M. ; Picon-Nieto, L. ; Signford, B. J. ; Lanham R.A., Jr ; Collins, R. ; Britigan, D. ; MacLennan, D. ; Avery, J. ; Lojovich, J. ; Voydetich, D. ; Salerno, R. ; Lamb C.R., Jr ; House, J. ; Cornis-Pop, M. ; Budd, L. V. ; Stevens, G. ; Verna, A. ; Thatcher, R. ; Festoff, B. W. ; Meyerhoff, J. / Biased responding : A case series demonstrating a relationship between somatic symptoms and impaired recognition memory performance for traumatic brain injured individuals. In: Brain Injury. 2001 ; Vol. 15, No. 8. pp. 697-714.
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abstract = "Biased responding on the Sternberg Recognition Memory Test was observed in four patients with traumatic brain injury. None of these individuals met the Diagnostic and Statistical Manual's (DSM-IV) criteria for malingering. Individual recognition memory scores were high shortly after injury, declined to chance or below at the 6- and 12-month evaluations, and then showed substantial recovery by the 24-month evaluation. Recall memory performance actually declined slightly across this same 2-year period. Recognition memory scores were related to the extent to which the patients endorsed somatic items on the Hamilton Rating Scale for Depression (HAM-D). Poor performance was associated with high somatic scores. The relationship between memory and somatic scores on the HAM-D in this case series suggests that unconscious processes can influence memory performance and, because of this, that clinicians should not use such performance as a primary indicator of malingering. More importantly, biased responding and actual memory deficits may coexist. This is indicated in the current cases by the failure of recall memory to improve during the 2 years these patients were followed.",
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T2 - A case series demonstrating a relationship between somatic symptoms and impaired recognition memory performance for traumatic brain injured individuals

AU - Bierley, R. A.

AU - Drake, A. I.

AU - Ahmed, S.

AU - Date, E. S.

AU - Rosner, M.

AU - Warden, D.

AU - Salazar, A. M.

AU - Schwab, K. A.

AU - Tackitt, P. H.

AU - McDonough, T. L.

AU - Punch, W.

AU - Ivins, B.

AU - Litvan, I.

AU - Lipski, R.

AU - Grafman, J. H.

AU - Ryan, T Lee

AU - Wilkinson, J.

AU - Martin, E. M.

AU - Coyle, M.

AU - Cole, R. A.

AU - Clawson, L.

AU - Walter, J.

AU - Bamdad, M. J.

AU - Graves, M.

AU - Knapp, P.

AU - Ecklund, J.

AU - Pramuka, M.

AU - Perry, L.

AU - Gray, N.

AU - Yoder, S.

AU - Grisson, J. R.

AU - Weissenburger, J.

AU - Breaux, K.

AU - Valescu, S.

AU - Garette-Bradley, D.

AU - Mullins, M. A.

AU - Vanderploeg, R. D.

AU - Curtiss, G.

AU - Scott, S.

AU - Michael, P. L.

AU - Waisman, M.

AU - Picon-Nieto, L.

AU - Signford, B. J.

AU - Lanham R.A., Jr

AU - Collins, R.

AU - Britigan, D.

AU - MacLennan, D.

AU - Avery, J.

AU - Lojovich, J.

AU - Voydetich, D.

AU - Salerno, R.

AU - Lamb C.R., Jr

AU - House, J.

AU - Cornis-Pop, M.

AU - Budd, L. V.

AU - Stevens, G.

AU - Verna, A.

AU - Thatcher, R.

AU - Festoff, B. W.

AU - Meyerhoff, J.

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